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HomeMy WebLinkAboutBuilding Permit # 11/22/2016 BUILDING PERMIT NORtM p��7t,.�a �e�tity TOWN OF NORTH ANDOVER 0=z�� Z. APPLICATION FOR PLAN EXAMINATION Yom' n Date Received Permit No#: �14paP+tirea w��` �� Date Issued: 1 -- a TMP(3ItTAI`dT: Ap licai�t must complete all items on this page „ ... V/1111, r r ;P„AhPCl=1^„ ZOCIITwIG HSTF IC`C rr/ -- ----- TYPE OF IMPROVEMENT PROPOSED USE __- _ Residential Non- Residential------ El est entia _-- ❑ New Building Cl One family EI Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ,Repair, replacement -❑Assessory Bldg CJ Others: ❑ Demolition ❑ Other ❑ Se `i c ❑>Well ; ❑ Floodplain ❑iP+Jetlands '(� Watershed D�stnct p ET 711 s,l; „/r, at;;r/S'Utler` ✓ . ,,.,,.,,% i 'o/ /.;%i' ” / , //i/is i it /:...,, DESCRIPTION OF WORK TO BE PERFORMED: - rc. ° r,1 4- ,` o Li 5 'TO'S _-. Identification- Please Type or Print Clearly OWNER: Name: v s - d-e ,x Phone: Address: 4 Contractor Name Email Addre s � 7, uca, aup�rlsor s Constrtion r /i�r r / JI Horpe Improuement License rr, r ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. 2 1 e_� 6 6V K& Total Project Cost: $ FEE: $ Check No.: Receipt No.: 3 �5 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty.fund ' ignature'of Agent/Owner Signature of contractors _ t%ORTH Town of � � Andover i ® >�. 0 No. - � i ver, Mass, O LAK& -- 'QA coc"ICKRMnCK` RATED U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ... , . ..... 91!rL.A....�, +S r , BUILDING INSPECTOR has permission to erect .......................... buildings on ....a050........IXAA*C ....... ,. . . Foundation Rough to be occupied as ......... .T......... ... .................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRI CAL INSPECTOR UNLESS CON STRUCTI START Rough ,........ ..rR.... .. ..........09 mom MM............................... Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Buildinz Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. World LLC m MA HIC Registration . Vr/Iirl''1:dOW,. � Number; Offices & 166025 ©15A Cummings.Park ❑295 Ofd Oak Street Fe ral Id# W60u%rn,.MA 01801 . Pembroke, MA 42359 . _ 271481665 (781) 932-4805 (781) 826-6281 "Simply the Best for 'Less" www.WindowWorldofBoston.com Customer: Phone(h) Install Address 4.tr Phone(w) Cit es ;►P/— State: MA Zip E-mail WINDOW WORLD GLASS OPTIONS 1000 Series Single-hung All-Weld $189 , SolarZone Elite $99 tzd- 2000 Series DH Mech/Welded Sash $195 Triple Glazed TG2* $175 1 3L 4000 Series DH Ail-Weld $205 - (*Series 6000 Only) . 6000 Series DH All-Weld $240 WINDOW OPTIONS 2 Lite Slider $334 — "' Breakage Warranty $15 iiVC,LUR 3 Lite Slider (Iia,4/3,113) (114,112,u4) $526 �Wable'Strength ens $9 INCLU ED picture/Fixed Lite $334 ulation on,iambs and Head $11 INCLUDED Awning $,250 Glass $15 INCLUDED � �Lleuble Locks (> 26") $5 1NCLUDED Casement $290 . 2 Lite Casement $575 ��Full Screens $22 Colonial Grids (Coured/Etat) $45 3 Lite Casement (in,lis,im) (1/4,1/2,114) $860 o t Basement Hopper $gg4 Prairie Grids �-- rew Diamond Grids $69 Bay Window-Soffit Mount!INS Seat $2660 Simulated Divided Lite $182 Bow Window-Soffit Mount/INS Seat$2785 Tempered DH Sash (1350) (TSO) $65 Garden Window. $1880 Obscure Glass (BSO) (TSO) . $35 Specialty Window $ Oriel Style(40/60 or 60/40) $30 Beige/Almond $40 Foam Enhanced Frame $35 Wood Grain Interior{Series 400016000 only}$100 PRE 1978 BUILT HOMES (federal Lead'Containment Law) (Light Oakl Dark c!Cher ox Wood Lead Safe Practices Required25 ., Rich Maple) MY HOME WAS BUILT IN THE YEAR_L - lnMaaA__-.1_ Brown Exterior(Arch.Bronze/American Terra)$100 Designer Color Exterior $155 :MISfrSLLANEOUS , Custom Exterior Aluminum Cladding Window Color r1/ / ❑Textured$75 ©Smooth G-8 $75 $ Facing Color inside Outside Metal Window Removal . $50 NON CUSTOM DOORS New Construction Vinyl Removal $175 Vinyl Rolling Patio Door 5%or Eft. 95 Specialty Window Exterior Trim $ yl Rolling Patio Door 8ft, $1085 Mull to Form Multi Unit $30 Ad base price for Custom Rolling Pa' oor $1150 _Install Interior/Exterior Stops $50_6,a%� Frenc all Sliding Patio Door or Gtr. $1295, Install Interior Casing, Starts At $95 French Ra tiding Patio D r8% $1395 Insulate Weight Boxes $20 French Rail 8l g•Pati oar 9ft. $1495 Root for Bay/Bow Windows $500 Custom Exterlor C Ing $150 Existing New Const. Ext. Retro Fit $150 S©larzone Elite ETC ss $175 Removal of Existing Bay/Bow $250 Grids Patio or $129 Repair Sill,Jamb or replace sill nosing $50 Woodgrai ,nteriors $295 Full Sub-Sill (Single) replacement $150 Exterio. esigner Colors $395 Mullion Removal $30 Inter' r Casing 21/2 3112 $175 13ay/Bow Conversion Ext, Metro Fit ' $350 H dleset Options (New Siding Will Not Match) $ Building Permit $150110 Door Color / ra BOUND-UpIEOR W�I�+i�IOW WORLD CARS$ inside Outside ,.St.—Jude ChildrensSese'arch kosn,tal .. . Customer decliners exterior wrap and.understands painting and/or repair may be required lnitiaf _i� s: Customer declines grids on windows/doors Initial ISCCustomer is responsible for the following in connection with this contract:Painting,Staining,Alarm System diseonri ct/recorinest Building Permitfees in L excess'of$25.00,Homeowner and or Condo Association Approval,Historic District Approval.City of Boston parking&sidewalk Permit fees in connection with installation. NO EX'T'RA WORT(IF NOT IN WRITING! Customer agrees to the termsof payment as follows: Extra Labor&Materials $ Site Set Up, Disposal &Delivery Fee $ $195.00 Total Amount Custom Order Deposit 50% $ 2,0 Ck# Balance aid to Installer upon Completion $ � � a Amount Fina ced $ Window World of Boston anticipates starting this work on z�and being substantially completed In L ys.Security Interest:Yes No . Any deposit required In advance of the start of the work SHALL NOT exceed 331/3%of the total contract pace or the.actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure that:the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of both parties. All home Improvement contractors arid subcontractors shall be registered and that any inquires about a contract or subcontractor relating to a registralian should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite$170 Boston,MA 02116.Phone:(017)973.8700 No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. Window World of Boston under provision'of Chapter 142A of the'general laws is required to apply for and obtain all construction-related permits.Window World of Boston shall not lie deemed responsible for delays in the work described In this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice:if the Pt1RCHASER(S).obtaim his own construction related permits for the.work described under this agreement or deals with unregistered contractors, the PURCHASER(S)is hereby advised that in the.event of a dispute,judgement and nonpayment,the PURCHASER($)will not be entitled to make a claim or collection Irom the guaranty fund established by chapter 142A,M.G.L. You the buyer may cancel this transaction at any time prier to midnight of the third business day after the_date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS A QUIMIA OR12ER—INLE0E A I This Window World"Franchise is independently owned and operated bg Window World of Boston LLC.under license from Window World,Ino. Owner:Do not sign it there are any blank spaces. Date } .fit swan:Do not sign if there ar any blank spaces. Datowner:Do not sign if there are any blank spaces. Date It V Boston 07.15- White Copy-Original Yellow Copy-Pile Pink Copy-Customer Hayes Ptiniing eee•M•1116 I Ml Windows And Doors 850 We at Market St NNRC Gratz,PA 17030 1650 DHNINYL/Grids National Fenestration Panel 1&2:Llte-1:(3/32",Clear,LOE,Annealedi;Ute-2: Dating-nesratio (3132",Clear,NONE,Anne ale d);Argon;35 314 X 41 114 CounciM MEI-Ai11-0A2ZOdI000Z €ndlvlduel products may be subject to variation$n perrarmance ENERGY PERFORMANCE RATINGS U-Factor(U.S.19-P) Solar Heat Gain Coefficient 0.29 0.2 ADDITIONAL. PERFORMANCE RATINGS Visible Transmittance 0.46 Mauraclurer stipAtes that these ratings ce4form to appI cable NFRC procedufes for delermin ng"ale praduct '.. peliormance.NFRC Ratings are determined rar a road set or ermteonmemal conditions and a spec0c product sloe. NFRC does not recommend any product and does natwarrarR ire sulebiN at any product for any specuic use.Consult manufacturers luerature ror other product perlarmaRce InfmmBtion. '.. wwr-nhc.org ENERGY 4 e I n A1150 States Perf Grade +DP(ASD) -DP(ASDj Water R-00 50.13 55.14 8.06 Max Teat Size Report# Florida ID 36.00 X 80.00 57962.01 12234 C � Ratings are far Individual windows and doors onfy. For information regarding mulled i or stacked units,please contact your sales representative.Pas and Neg OP limited by unit test size,Tested to AAMAIWOMA/CSA 1011I.S.21A440-05 Glass According to ASTM E1300. Printed an 26474612.6.1 .2 41201201311044'.52 PM Tlie Commoll we lth of 1 irtssachusetts Department afIndustrict"ccidents -;f Office offnvest7gations 600 WashlneOn iS`teet Boston, MA 0.2111 www.rnasE.gov/die .. tricianslumbets workers' Compel[satzon fasurauce Affidavit: Builders/Conn actors/ I ens Pr a-t Legibl licant Informaidou N,.ea_S7 t✓ Address: f'n Nr I N .s city/state/Zlp: W r6, pe of project(required). Are you an employer? Check the appropriate E ]I am a general contactor and I ❑New consizuction 1.[�r I am a employer with. _�..._ save hired the sub-contractors employees f full and/or part-time).* listed on the attached sheet 7. El Remodeling 2_[] 'I am a,sole proprietor or partner- These sub-contractors have 8. []Demolition ship and have no employees employees and have workers' 9. ❑Building addition working forme in any capacity. comp.insurance.t No workers' comp.insurance 5 E] We ale a Corporation.and its 10.[]Electrical repairs or additions req�ed-1 officers have exercised their 11.0 Plumbingrepairs or addi ons 3.F] I am a homeowner doing all work right of exe� Per er MGL myself.-[No .workers' comp- � ' 12.E]Roofrepairs c. 152, §1(4),and'tee have no 13 �ther ins=-ace required-.]i employees,[No workers' 4 comp.insurance required_] a liaant that checks box#F1 must also fill out the section below showing their worker'campensa ion policyinformation. AnY FP he are doing all wnsk and then hire outside contractor must submit a new affidavit indicating such. s Homeowners who submit this affidavit indicating they ff tho name of the sub cortractozs and state whether or not those entities have TcoatmIctors that check box roust attached an additiom�ussth ovzde their workers'comp.policy number. employees. If the sub-contractors have employees,they p etnployer that is providing workers'cotnpen.salon insurance far my employees -Below is the policy and job site lam an information. �Tt✓T'•�'rr�7` J � /�-fT✓ ��J� s Cid - r� insurance Company Name: ;j �) Expiration Date.- Policy#1 or Self-ins.Lic. 1� �`� �� �[ ,l Citylstate/Zip: rob site Address: Attach a copy of the workers' compensation policy declaration page,(showing the policy number and expiration date). penaltiesosition of criming of a Failure to secure-coverage as required under o�enSection 25A of well as cr .p nalties in tthe form lead to e off as STOP WORK ORDER an-d a fine fine up to$1,SQO.OQ and/or one year impr of up to$250.00 a day against the violator. Be advised that a copy'of this statement maybe forwarded to the Office Of Investigations of the DIA for inrance coverage verification- su Ido hereby certify and the wins and sof that the informadan provided above is true and cot rect � Date: Si 1-13 Phone# Off cin£use�n£y. Do not write in this area to be cor;xpleted by city or town official Town' Permit[License City or Town' Issuing Authority(circle one): ector i.Board of Health 2.Building De paytm.ent 3.City/Town Clerk 4,Electrical In pector 5.Plumbing Inspector 6.Other Phone 9: Contact Person-, E WINDO-2 OP ID: HI CERTIFICATE OF LIABILITY INSURANCE DATE(MMrDDIYYYY) ��. 07/18/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER N°ANM cr C. Timothy Ward, CPCU, CIC Senn Dunn-GSO PHONE336-272-7161 Arc,No: 33s-346-1397 3625 N.Elm St. Arc No.Exf Greensboro,NC 27455 E-MAIL E-MAILSS:(ward Senndunn.COm C.Timothy Ward,CPCU,CIC INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Citizens Ins Co of America 31534 INSURED Window World of Boston,LLC INSURERH:Allmerica Financial Benefit 118 Shaver Street INSURERC:Hartford Fire Insurance Co. 19682 North Wilkesboro, NC 28659 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD fNDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IAD SUBftOLICY EXP POLICY NUMBER MMIDDlYYYY I MMIDDIYYYY .._ LIMITS LTR INSD WVD A X COMMERCIAL GENERAL LIABILITY EACHOGCURRENCE 5 1,000,000 AGEO RENTED 1 CLAIMS-MADE � OCCUR IfOB6790262707 04/01/2016 04101f2017 PREMSSES(EaOCCu e n c e 5 _ 500,000 Business Owners MED EXP(Any one person) s 5,000 PERSONAL&ADV INJURY S 1,000,000 ._. ..... � GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $ 2,000,000 PRO- PRODUOTS-COMPlOPAGG 5 2,000,000 POLICY JECT ( ] LOC �__ _ S I OTHER; E { I COMBINED SINGLE LIMIT $ 1 000 000 I AUTOMOBILE LIABILITY Ea accident ,,,, _� B �,ANYAUTO AW68757615 06/16/2016 06116/2017 BODILY INJURY[Per person) 5 �!ALL OWNED SCHEDULED ! I BODILY INJURY(Per accident)15 NON-OWNED RTY AUTOS �_ i PION-OWNED I PROPEDAMAGE S I, HIRED AUTOS AUTOS X UMBRELLA LIAB i X OCCUR EACH OCCURRENCE [s 1,000'000 A EXCESS LIAB CLAIMS-MADE 056790252707 04/01/2016 04/01/2017 AGGREGATE S _ DEDRETENTION S I Is WORKERS COMPENSATION X STATUTE ORTH- I AND EMPLOYERS'LIABILITY 500 000 C ANY PROPRIETORIPARTNER/EXECUTIVE YIN 22WEGLJ2635 01127l2016 01I2712017 E,L_EACH ACCIDENT 5 i OFFICERIMEMSER FXCLUDED? N 1 A .. _ 500,000 (Mandatory In NH) _ S - E.L.,DISEASE-F..A E if yes,describe under 50(),000 DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT 5 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Of North Andover 1600 Osgood St.Ste 2043 AUTHORIZED REPRESENTATIVE North Andover, MA 01845 . 11W�u.r� O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD "r I Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-072772 C�r15trCfCtlOil 3'�6eC'li:>O' "i JEFF C STEELE " 24 SHERWOOD AVE —" DANVERS MA 01923 Expiration: Commissioner 04107/2018 E - Office of Consumer Affairs&Business Regulation 'HOME IMPROVEMENT CONTRACTOR 9. . 4 Registration: 16e025 Type: --�' Expiration: 4112!2018 LLC WINDOW WORLD OF BOSTON,LLC. JEFF STEELE 24 CUMMINGS PARK SUITE.15-A WOBURN,MA 01801 Undersecretary License or registration valid for individual use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 r Mot valid without signature